26D2059508 CLIA NUMBER - VITA LLC

Laboratory Demographics

  • CLIA Code: 26D2059508
  • Facility Name: VITA LLC
  • Facility Address: 13990 OLIVE BLVD SUITE 102B
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 314 275-4020
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANZHELA VOLCHEK
  • NPI Number: 1316229479
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 26D2059508
LAB Type Home Health Agency
Facility Name VITA LLC
Street 13990 OLIVE BLVD SUITE 102B
City CHESTERFIELD
State MO
ZIP 63017
Phone 314 275-4020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Home Health Agency
Lab Director ANZHELA VOLCHEK

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This page was last updated on: 9/29/2025